Provider Demographics
NPI:1114977592
Name:STRONG, CARRIE ANN HOOD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE ANN
Middle Name:HOOD
Last Name:STRONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N UNIVERSITY DR
Mailing Address - Street 2:STE 104
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6093
Mailing Address - Country:US
Mailing Address - Phone:954-340-0888
Mailing Address - Fax:954-346-0909
Practice Address - Street 1:1881 N UNIVERSITY DR STE 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6093
Practice Address - Country:US
Practice Address - Phone:954-340-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10060103T00000X, 103G00000X
MI6301012509103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CS012509OtherPRIORITY HEALTH